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Translating Practice Into Policy: Disaster Nursing And Research In The American Red Cross, Janice D. Springer, Mary Casey-Lockyer

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Background: Multiple disaster events since 2005 have highlighted gaps and inconsistencies in collection and use of data on behalf of disaster shelter populations in the entire disaster cycle of prepare, respond and recover.''There is a paucity of evidence-based research in publication that describe systems for identifying needs of those at-risk within the population-based, non-medical setting of a disaster shelter.' Morbidity surveillance in congregate living shelters has not been well understood or incorporated into nursing policy and practice. There is a need for qualitative data surrounding disaster related fatalities to inform preparedness messaging.' The …

Emergent Care Competence And Its Related Factors Among Junior High And Elementary School Nurses In Taiwan, Hsiao-Wei Tsai, Shu Yu

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The main purposes of this study consisted of (1) understanding elementary and junior high school nurses' emergent care competence in Taiwan; '(2) exploring the relationships between personal, school factors and emergent care competence in elementary and junior high school nurses; '(3) identifying the predictors of emergent care competence in elementary and junior high school nurses.

Methods: This research was a nationwide study using a cross-sectional research design.'A structured questionnaire was used to collect data from 308 school nurses selected randomly and was delivered by way of a mailing method.

Results: The main …

Research On The Sense Of Coherence (Soc) Of Newly Graduated Nurses In Japan Within Their First Sixth Month Of Employment, Yasue Yamazumi, Akira Kitagawa, Fumiko Yasukata, Chie Ikoma

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014: Purpose: According to the Japanese Nursing Association, the newly graduated nurse's turnover rate continued to decrease between 2008 and 2012. The turnover rate of newly graduated nurses in 2012 was 7.5%. 7.5% of newly graduated nurse's amounts to 3900 graduates from 50 nursing colleges all over Japan in 2013.The total number of graduates from all colleges and universities in Japan who started working in 2013 was 50,200. Compared to the turnover rate of 11.4% for all new hires who graduated from college in 2009 this turnover rate for nurses is not particularly high. …

Forewarned Is Forearmed: Preparing Nursing Students For Workplace Adversity, Julie Hanson

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014: Purpose: The poster presentation reports on an education-focused research project that is underway to explore contradictions in the way in which adversity is understood and responded to and the contribution the curriculum is (and is not) making in one university in Australia. The project is divided into 3 stages: exploratory interviews with nursing students identifying critical events that have occurred in the workplace; the generation of learning materials that will assist educators, clinicians and students to explore these critical incidents in new ways, so that new insights may emerge, and then designing strategies …

Strategies For Improving Adherence, Mary Ellen Roberts

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: This is the third of a three part series on Medication Adherence in which the authors describe the continuum of adherence to non-adherence of medication usage.

Methods: Research articles through Medline and PubMed. Results: Understanding the magnitude and scope of the problem of medication non-adherence is the first step in reaching better adherence rates. The second step is to evaluate the risk factors for each patient for medication adherence/non-adherence. Steps are then taken to prevent non-adherence.

Conclusion: The implications for nurse practitioners include using time with patients to assist them in adherence, …

Safe Sleep Advice To Safe Sleep Action: Pilot Of The Pepi-Pod Program In Indigenous Communities, Jeanine Young, Karen L. Watson, Lauren Kearney, Stephanie Cowan, Leanne Craigie

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Background: Sharing sleep spaces with babies is a common infant care practice in Australia [1], and the cultural norm in many Indigenous communities [2]. While forms of co-sleeping may reduce risk of sudden unexpected death in infancy (SUDI) and enhance breastfeeding in some cultural groups, some shared sleep environments are extremely hazardous for infants [3]. Aboriginal and Torres Strait Islander babies currently die suddenly and unexpectedly at a rate almost four times higher than non-Aboriginal and Torres Strait Islander infants (252.1 deaths per 100,000 compared with 66.4 deaths per 100,000 respectively). A considerable …

Understanding The Families' Needs: Interventions For Family Members Of Adolescents With Disruptive Behavior Disorders, Ukamaka Marian Oruche

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Adolescents with Disruptive Behavior Disorders (DBD) including Oppositional Defiant Disorder and Conduct Disorder present unique challenges to their families. DBD are prevalent and serious mental disorders first diagnosed in childhood. DBD are characterized by hostile, aggressive, defiant, and antisocial behaviors. These adolescents are at risk to drop out of school, abuse drugs, or be arrested. Therefore, family members of adolescents with DBD experience overwhelming and unrelenting stress related to the difficult challenges of managing the adolescents' behavior problems and interacting-often on a daily basis-with the mental health, schools, child welfare, and juvenile …

Putting Evidence Into Practice: Dissemination And Implementation Of A Cervical Cancer Prevention Project In Ethiopia, Jennifer Kue

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Cervical cancer incidence rates are astonishingly high among women in Ethiopia (35.9 per 100,000). Almost 6,000 Ethiopian women die annually from the disease. In developed countries, cervical cancers are prevented by early detection using the Papanicolaou (Pap) test; however, in low resource countries, Pap tests are not readily available. An evidence-based alternative, low-tech approach to preventing cervical cancer using visual inspection with acetic acid (VIA) and cryotherapy has successfully reduced morbidity and mortality from cervical cancer in India and Uganda. Dissemination and implementation (D & I) of this evidence-based procedure can save …

The Pebble Effect: Stopping Incivility In Clinical Environments, Cathleen S. Opperman

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: The Pebble Effect: Stopping Incivility in Clinical Environments is a reporting of an effective educational strategy used to improve the communication patterns and staff engagement of a 400 bed hospital. Requests in our annual learning needs assessments, as well as feedback from continuing education programs identified a strong desire by interdisciplinary clinical staff to eliminate coworker incivility, horizontal hostility, bullying, lateral violence and intimidation.

Background: The literature review identified incivility as a widespread problem in healthcare. Whether labeled as coworker incivility, horizontal hostility, bullying, lateral violence or intimidation, it is known to …

Preventing Complications Associated With Tube Feedings, Norma Metheny

International Nursing Research Congress (INRC)

The session will include a discussion of evidence to support or refute a variety of commonly used methods to determine feeding tube placement. Among the methods to be evaluated are: pH testing of feeding aspirates, observing the appearance of feeding tube aspirates, auscultation for a bubbling sound over the epigastric region as air is injected through the tube, electromagnetic monitoring, and carbon dioxide detection devices. Because the pH method is the most widely recommended bedside placement method, factors that may affect its accuracy will be reviewed; among these are the use of gastric acid inhibitors and recent feedings. Variations in …

Level And Predictors Of Self-Care Behaviors (Scb) Among Educated And Uneducated Patients With Heart Failure (Hf) In Pakistan, Ambreen Amirali Gowani

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Self-care among heart failure patients is found to be affected by several factors including education as one of the most significant predictor. Prior studies on self-care, from western countries have revealed that higher the education better is the self-care. But the level of self-care and its predictors are yet un explored in developing countries like Pakistan. Therefore, this study aimed to compare the level of self-care and its associated factors among educated and uneducated HF patients of a country which has lowest literacy rates.

Methods: 230 HF patients (115 educated and 115 …

Relationships Among Locus Of Control, Psychology Status And Glycemic Control In Type 2 Diabetes, Shu-Ming Chen

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: The purpose of this study was to determine whether the factors of locus of control, self-efficacy, depression, and self-care behavior relate to glycemic control in type 2 diabetes.

Methods: We used a descriptive correlational design. Convenience sampling was applied to enroll 285 subjects from diabetic outpatient clinics in Southern Taiwan. We applied the locus of control, self-efficacy, depression, and self-care behavior questionnaires. Glycemic control was assessed by HbA1c measures.

Results: The internal locus of control was significantly positively correlated with self-efficacy and self-care behavior, and significantly negatively correlated with depression. combined depression …

What Impact Does Pharmacist Led Medication Reconciliation Strategies Have On Reduction Of Medication Errors In The Older Adult?, Lorraine A. Von Eeden

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

To study the role of the pharmacist in optimizing medication reconciliation strategies and the potential impact on medication related problems in community dwelling older adults. Purpose: To determine what effect a pharmacist-led intervention can have on medication reconciliation strategies/medication errors in the community dwelling older adult. Methods: This review considered studies that evaluated the effects of medication reconciliation strategies on medication errors in community dwelling older adults. The target population was older adults, 65 years and older and living in the community. Excluded were any older adults with dementia or who were dependent …

Predictors Of Self-Management For Chronic Low Back Pain, Jennifer Kawi

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: This research study aimed to: (a) identify variables that best predict self-management (SM) of chronic low back pain (CLBP), and (b) evaluate differences in these variables between individuals in specialty pain centers and primary care clinics. CLBP is a continuous or intermittent discomfort persisting for at least three months. It affects about 10% of the world population and is becoming increasingly prevalent. Globally, the ranking of CLBP increased from being the 12th leading cause of years of life lost and years lived with disability in 1990, to number 7 in 2010 (Murray …

Child Rearing Support Of Nurses Who Are Mothers Of Pre-School Age Children, Akiko Maruyama, Miyuki Saito, Eiko Suzuki, Tomomi Azuma

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Managing both job and child rearing is a big challenge for women, and it is specifically difficult for nurses to manage both and that many nurses are susceptible to stress. This study aimed to clarify the relationship between burnout and child rearing support of nurses who have pre-school age children.

Methods: The subjects were 2,151 nurses who have pre-school age children, working in 70 hospitals with at least 200 beds, established by cities and towns across Japan. The questionnaires were completed by 1,644 nurses (92.3%) in October 2010, and they were divided …

Global Research Collaborations To Prevent And Respond To Intimate Partner Violence, Nancy E. Glass

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Gender based violence (GBV), including intimate partner violence (IPV) is a significant and widespread public health issue. Among women globally, 1 in 3 women report physical or sexual violence in their lifetime, most typically at the hands of their male partner. IPV is associated with numerous negative physical and mental health consequences, yet few IPV interventions have been proven effective in reducing the negative health and social consequences of IPV for women and their families. Safety planning is the most widely advocated intervention to reduce IPV, yet the vast majority of abused women …

A Research Journey: To Boldly Go Forward, Usha Menon

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

The development of a successful career requires passion, persistence, teamwork, and mentorship. In my research career, I have focused on reducing disparities in the early detection of cancer among the poor, elderly, underserved and/or minorities. Cancer is a deadly disease that kills many people worldwide, yet the irony is that for certain cancers, early detection can lead to a complete cure and lives saved. Through the testing of targeted and tailored interventions, my team has moved from efficacy testing to testing dissemination and implementation designs. The use of rigorous models of cultural targeting …

Helping Patients And Families Enrich The Quality Of Their Lives During Cancer, Ruth Mccorkle

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

In this session an overview of a program of research in cancer care will be presented. The research program will demonstrate the impact the intervention has had on patient and caregiver outcomes. Critical nursing behaviors that were essential in effecting the outcomes will be described. Clinical and policy changes related to the program of research will be discussed and future areas of research will be recommended.

Factors Associated With Metabolic Syndrome Among Thai Women, Sununta Youngwanichsetha

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: This study aimed to describe factors associated with metabolic syndrome among Thai adult women.

Methods: A cross-sectional analytic research was designed and carried out in a tertiary hospital located in southern Thailand. Systematic random sampling was used to select the participants (n=120) from the potential clients with metabolic syndrome (n=360). Data were collected through the metabolic syndrome questionnaire on risk behavior concerning dietary intake, physical activity and exercise.'

Results: Results showed that significant factors associated with the metabolic syndrome among Thai adult women were: 1) current body weight, 2) current body mass …

Activation Planning: Preparing A Workforce For Expansion Into A New Healthcare Facility, Katherine Pakieser-Reed, Emily Lowder, Sally Black

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Background and Purpose: An organization faces many challenges when building a new healthcare facility and preparing to move or expand into this facility. Strategies to plan and implement such a move have been described in the literature. Guzman, Nering, and Salamandra (2008) outline the use of specific project management tools and the application of the nursing process (assess, plan, implement, and evaluate) in organizational transition planning. The scope of a successful transition plan must address the roles and responsibilities of organizational members, licensing and regulatory requirements, a transition budget, move planning, and management …

Family Vulnerability, Maria Joana Campos, Abel Paiva Silva

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Characterize the family transition experienced by caregivers of dependent people on self-care.

Methods: Grounded Theory (Strauss & Corbin, 2008).

Results: A main category emerges from analysis: "vulnerability". The vulnerability is related with social exclusion, since the dependent needs a lot of care, cope with social isolation and most of them are unknown of the health system. On the other hand, family caregivers aren't prepare for care, they have conflict of interests with their usual roles in family and society. The resources available by the families usually are insufficient. They search for more …

The Effects Of Psychological Nursing Intervention Program On Psychological Distress And Quality Of Life In Women With Breast Cancer Undergoing Chemotherapy, Yeon Hee Kim, Kyung Sook Choi

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: The purpose of this study was to develop a psychological nursing intervention program and evaluate the effect on psychological distress and quality of life for women breast cancer patients undergoing chemotherapy.

Methods: The research design was pre and post randomized controlled trials. Development of the psychological nursing intervention program proceeded as follows: (1) The program was based on the guideline of psychological intervention proposed by Fawzy (1996), focusing on chemotherapy symptom management education, coping skill for negative emotion while treatment process, and emotional support: body image, self concept, stress coping, expressing fear …

Barriers Impacting Rapid Access To Tertiary Care For Time Sensitive Critically Ill Patients, Scott M. Newton

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Introduction: Interhospital transfer of critically ill patients between community hospitals and tertiary care centers are common within the United States. Medicare data from 2005, identifies an interfacility critical care transfer volume of 47,820 (Iwashyna et al, 2009). Approximately 4.5% of all critical care patient admissions to community hospitals experiences an interhospital critical care transfer. The process for interhopsital transfers is not optimized for favorable patient outcomes and is a significant problem to be addressed (Bosk, Vienot and Iwashyna, 2011). Rapid access to tertiary care is paramount to the patient experiencing a time sensitive …

Becoming A Better Interprofessional Practitioner: How Does It Happen; What Is The Impact, Doris Grinspun, Althea Stewart-Pyne, Irmajean Bajnok

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Interprofessional care is comprehensive care provided by multiple health-care professionals working collaboratively within their scope of practice and it is important in all health-care settings to enhance health outcomes and patients' experiences, reduce costs and facilitate a healthy work environment for all providers. Interprofessional models of care have been gaining attention as the healthcare system seeks a model that is patient-focused and emphasizes health-care professionals working collaboratively within their full scope of practice. Interprofessional care in a healthy work environment is a product of synergy among health-care teams, who demonstrate expertise in its …

Leveraging Data To Drive Quality Patient Care: The Value Of A Unit-Specific Nursing Performance Dashboard, Joyce Lo, Susan Beswick, Heather Campbell, Lianne P. Jeffs, Ella Ferris

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: Performance data can be used to monitor and guide interventions aimed at improving the quality and safety of patient care.[1-4] Nursing plays an important role in quality management and performance improvement at the clinical level due to their interactions with patients and at an operational level nurse leaders have a key role in informing resource allocation and patient safety monitoring.[1,3,4] To use performance data effectively, nurses need to understand how to interpret and utilize data in meaningful ways to guide practice. Unless clinical nurses have knowledge about performance improvement measures, exposure to …

Family Structure; Process Of Family Life, Communication Patterns And Prevalence Of Smoking, Alcohol And Illicit Drug Use Among Primary Children, Yim Wah Mak, Alice Yuen Loke

International Nursing Research Congress (INRC)

Purpose: This study examined the family structure; process of family life, communication patterns and patterns of smoking, alcohol and illicit drug use among primary children in a deprived district in Hong Kong. Methods: A two-stage random sample of primary five and six school children aged 10-12 years were recruited from 5 schools in two deprived districts in Hong Kong. Children from the schools were completed structured questionnaires in the classroom. Their family life (structure, parenting patterns and process), communication patterns and practices of health risk behaviors (smoking, alcohol and illicit drug use). Results: The prevalence of experimentation with smoking, alcohol …

Does Diabetes Mellitus Make A Difference In Symptom Presentation Of Patients With Acute Myocardial Infarction?, Polly W. C. Li, Doris S. F. Yu, Diana T. F. Lee

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: The study aimed to compare the differences in symptom presentation between diabetic and non-diabetic patients with acute myocardial infarction (AMI), and to examine the impact of diabetes on symptom presentation in AMI patients.

Methods: A consecutive sample of patients with a confirmed diagnosis of AMI was recruited from the cardiac units of three regional hospitals in Hong Kong. Data collection was conducted through face-to-face interview. The validated Chinese version of the Symptoms of Acute Coronary Syndromes Inventory (SACSI-C) was used for symptom assessment.

Results: A total sample of 397 patients was recruited, …

Transnational Care: Perceptions Of Filipino Nurses Working In Japanese Hospitals Under The Japan-Philippine Economic Partnership Agreement (Jpepa), Cora A. Anonuevo

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: This paper is an exploration of the perceptions of Filipino nurses on their current status and work conditions after passing the Japanese Licensure Examination for nurses, their plans in light of their conditions, and their views on the implementation of Japan-Philippine Economic Partnership Agreement or JPEPA.

Methods: I Individual interviews were conducted in July 2012 with six Filipino nurses who passed the Japanese licensure examination. The study participants have been working as staff nurses in five tertiary health care facilities in Japan. The interview was held in the hospital premises. Permission to …

Comparison Of Family Eating Habits And Activity Practices Among Blacks, Hispanics, And Filipinos: Implications For Prevention And Control Of Overweight And Obesity, Luz S. Porter

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The purpose of this study is to compare and analyze the eating habits and physical activity practices among Filipino, Black, and Hispanic families. Overweight and obesity among children and adults is well-documented as an escalating problem. Concern about this rise centers on the link between obesity and increased health risks that translate into increased medical care and costs. Preventing childhood obesity is a national priority. Findings of earlier studies point to the interplay betweeNon-membermong personal attributes and environmental factors in development of overweight and obesity in childhood and adolescence.

Methods: This descriptive …

A Comparative Study Of Hiv Positive African Migrants' Efforts To Gain Health Services In The U.K. And U.S, James Whyte

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: There is a dearth of studies that detail the processes underlying African migrants' efforts to gain health services in the UK and US. The purpose of the presentation is to present the results of parrelell studies designed to detail the efforts of HIV positive African migrants' in the UK and US to gain access to vitally needed health services.

Methods: The Grounded Theory Method was used throughout the conduct of this study, due to the method's ability to integrate data and offer a structured method through which data may be analyzed and …