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A Comparison Of Students' Perception On Effectiveness Of Integrating Electronic Health Records Into Simulation In Undergraduate Nursing Program, Weihua Zhang, Barbara Kaplan, Darla Ura

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Background: Electronic Health Records (EHR) make real time point of care efficient. Interdisciplinary teams can view the most updated patients' progress thus ensuring safe and quality care. We implemented EHR into our existing simulation exercise and attempted to see a change in students' perception on effectiveness of the simulation in our undergraduate nursing program.

Purpose: The main purpose of this implementation is to assess the difference on simulation effectiveness perceived by the students in the group with and without utilizing EHR in simulation exercise.

Method: Cross-sectional design and convenience sampling were used to …

Sustaining Evidence-Based Nursing Practices For Fall Prevention In Hospitalized Oncology Patients, Laura Cullen, Sharon J. Tucker, Deborah Sheikholeslami, Debra Picone, Janis Johnson, Grace Matthews, Rhonda Evans, Renee Gould, Deborah Bohlken, Lynn Comried, Kelly Petrulevich, Elena Perkhounkova

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Aim: This study aimed to identify factors that sustain evidence-based fall prevention for hospitalized oncology patients by examining patient factors (characteristics reported in incident reports 2009-2012 and patient interviews regarding their perspectives of fall risks and prevention); nursing interventions (documented for patients who fell 2009-2012); and nursing staff surveys regarding fall prevention knowledge and self-efficacy.

Background: Fall prevention is an important quality indicator and nursing concern for hospitalized oncology patients. In fact, 3-20% of hospitalized patients fall with 60% related to toileting, adding $4000 in cost. Up to 50% of patients are at …

Physical Fitness Exercise Vs. Cognitive Behavior Therapy On Reducing The Depressive Symptoms Among Community-Dwelling Elderly Adults, Tzu-Ting Huang, Yen-Fan Chin

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Aim: To compare the effectiveness of three interventions (physical fitness exercise, cognitive behavior therapy, and comparison) on primary outcomes (depressive symptoms), and secondary outcomes (physical fitness, quality of life, cognitive function, and social support) of community-dwelling elderly adults with depressive symptoms.

Background: Depressive inclination is a major problem among community-dwelling elderly adults. The prevalence of depressive symptoms ranges from 10.4% to 39.3%. This indicates the importance of developing effective strategies to reduce depressive symptoms among elderly adults.

Methods: Data was collected from May 2011 to April 2012. A randomized controlled trial with three …

The Influence Of The Social Determinants Of Health On Diabetes Self-Management In Rural Appalachia, Myra Leslie Clark

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Diabetes, a worldwide public health concern, has been linked with lower socioeconomic status, obesity, poor nutrition, membership in certain racial and/or ethnic groups, and family history of diabetes - factors often present in both urban and rural regions. Researchers are finding that greater knowledge of the relationship between social determinants of health and diabetes may provide insight into individuals' health outcomes related to diabetes. The purpose of this descriptive phenomenological study was to explore the social determinants of health as they relate to diabetes self-management in a rural United States population.

Methods: …

Creating An Environment Where Ebp Is Reality: Engagement And Critical Contributions Of The Nurse Executive, Mary G. Nash

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: There are critical components of an organizational culture that must be embraced and imbedded in order for EBP to become a reality. These components must be actualized throughout an organization; however a commitment from the executive level is absolutely essential for success. The critical components include: a philosophy, mission and commitment to EBP; an environment where the spirit of inquiry is encouraged, acknowledged, and rewarded; a cadre of EBP mentors who have in depth knowledge and skills in EBP, mentoring others, and overcoming barriers to individual and organizational change; administrative role modeling …

The Relationship Between Executive Dysfunction And Instrumental Activities Of Daily Living In Early-Stage Dementia, Daisuke Fukuta, Chizuru Mori

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: One of the key clinical features of early symptoms of dementia is the cognitive deficits in everyday activities. Until a few years ago, it was considered that early-stage dementia is typically characterized primarily by memory impairment. In the latest survey for early-stage dementia, executive dysfunction has been attracting attention to not only memory impairment in the significant cognitive deficits. The cognitive deficits are often mild and may get worse very gradually, but it has been suggested that executive dysfunction affects the Instrumental activities of daily living (IADL) of early-stage dementia. Executive function …

Engaging Interprofessional Teams: Promoting Community And Global Health Initiatives For Education, Practice, Research And Policy, Quannetta T. Edwards

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Assessing the needs of the community is an important part of healthcare and integral to the development, initiation and evaluation of health education programs, policies and regulations that promote population, community and public health and quality of life. The purpose of this symposium is to describe the integration of community and global health into curriculum for education, practice, research and policy initiatives using an inter-professional collaborative team approach consisting of advanced practice nurses (nurse practitioners), public health nurses, physicians, dentists, and public health experts. The program uses a myriad of approaches to provide …

Reflections Of Second Year Nursing Students In Australia On Improving Their Cultural Competence In Relation To Aboriginal And Torres Strait Islander Health, Glenda E. Mcdonald, Leanne Hunt, Sharon Patricia Hillege

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: Nursing students around the world require the capacity to provide nursing care in a culturally competent manner, given the complex patterns of migration and the increasingly multicultural nature of our societies and health system populations. In particular, nursing students need to understand the social and political aspects of majority and minority groups within societies and the impact they have on health access and outcomes.

Methods: This qualitative research study investigated the development of cultural competence in 76 culturally diverse, second-year nursing students in a metropolitan region of Australia, while they studied a …

How Risk Ideology Creates Patient Work In A Secondary Stroke Prevention Clinic: Findings From An Institutional Ethnography In Canada, Sarah Flogen

International Nursing Research Congress (INRC)

Session presented on Thursday, July 24, 2014:

Purpose: Patients at risk for stroke seem to have certain features of clinical importance which have been associated with social determinants of health. Patients also seemed to be engaging with many activities and life changes in order to reduce their risk of stroke. This project had two aims: to understand the role of social determinates of health in health care, and to explore patient work in managing their stroke risk. The purpose of this paper is to describe findings from a nursing doctoral dissertation which explored the social organization of secondary stroke prevention …

Non-Urgent Emergency Department Use In An Urban Pediatric Primary Care Population, Mei Lin Chen-Lim

International Nursing Research Congress (INRC)

Session presented on Thursday, July 24, 2014:

Purpose: The purpose of this study is to evaluate the reasons that families use the Emergency Department (ED) for their child's non-urgent care when primary or after hours care is available. Background and Significance: Garcia et al (2010) reported approximately 20% of patients nationwide, with at least one Emergency Department (ED) visit, were children (ages 0-17 years). Past studies reported that approximately half or more of these visits were for non-urgent conditions (Zandieh, 2009). Ambulatory Care Nurses provide primary well child and illness care to assist patient and families to better manage health …

Illustration Of Aims For Utilization Nursing Process Data In Electronic Patient Records With The Aid Of The European Nursing Care Pathways (Enp), Sebastian Kraus

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

The before delineated aims will be illustrated in more detail with the aid of the European Nursing Care Pathways (ENP). ENP is a classification system which has been developed in Germany since 1989 by a scientific development team with diverse nursing competences. ENP consists of nursing diagnosis with characteristics, etiologies, resources, outcomes, interventions as well as detailed guiding interventions. In Germany and other European countries, ENP is currently used by many hospitals, nursing homes and home health care services as an electronic patient record for nursing process documentation.

The Effect Of Breastfeeding Intervening Program In The Non-Authorized Baby-Friendly Hospital, Ya-Ling Yang

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Background: The program of 'baby-friendly hospital' gave fresh impetus to enhance the rate of effectively feeding of mother's milk in Taiwan area. Fifty-two percent babies were born in authorized 'baby-friendly hospital'. According to the authorized 'baby-friendly hospital' qualifications, there is an almost 100% attending rate in medical centers and regional hospitals, while community hospitals only account for 41.5%. Even though the breastfeeding rate in private obstetrics clinics is only 3.5%, the birth number rate is up to 32.5% of the yearly total birth. The breastfeeding rates at non-authorized 'baby-friendly hospitals', which are classified …

Development And Implementation Of A Team-Based Learning Module: An Academic Perspective, Jenny Morris

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Team-based learning (TBL) was developed as a method of ensuring the benefits of small group teaching with large groups of 200+ students (Michaelsen, 2002). To implement TBL a course/module is divided into learning units each of which follows a specific sequence of activities: (i) out-of-class preparation; (ii) 'readiness assurance process' of individual and team testing, plus the opportunity for team appeals; and (iii) application activities in which teams work on problems (Parmelee & Michaelsen, 2010). Students are also required to provide feedback on each team member's contribution to team working. Teams of between …

Exploring Nursing Cost Using Patient Level Data, Peggy A. Jenkins

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

The purpose of the study was 1) to explore the variability of nursing cost per acute care episode for patients with similar DRGs with and without major complications; 2) to investigate the relationship among patient characteristics, nurse characteristics, nursing intensity, and nursing cost as a patient outcome. Four research questions included: What is the variation in nursing cost per acute care episode for patients with the same DRGs without complications, with complications, with major complications? What is the relationship among nursing characteristics (age, years of service, educational degree) on nursing cost per acute …

Effects Of Instructor Immediacy And Online Course Design In Student Satisfaction And Successful Course Completion, Nancy J. Slizewski

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Background: The withdrawal and failure rates for online classes and student satisfaction of online courses are identified as problems. Aim and Objectives: The aim was to investigate the effects of course design and instructor feedback on student success and satisfaction in online courses.

Method: The literature review supported further investigation of student satisfaction and course completion in online courses and the college approved the project. Student satisfaction with the course and instructor were evaluated utilizing the college's current survey tool. Student course completion was evaluated. Results of the project were compared to the …

Bridging The Education-Practice Gap: Integration Of Current Clinical Practice Into Education On Transitions To Professional Practice, Cheryle G. Levitt

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: There is an acknowledged gap between the content in undergraduate nursing education programs and the expected performance standards and roles of nursing in the healthcare setting. The continual changes in the healthcare system are not sufficiently reflected in basic nursing education, and the gap results in graduates that may not be sufficiently prepared for the current role expectations for nurses in various settings. Nursing education is charged with preparing graduates to integrate into reconceptualized roles that include areas such as collaboration, leadership, quality management, use of technology, and care management. The Institute …

Validation And Sensitivity Pictorial Pediatric Symptom Checklist, Elif Ardic, Gul Unsal Barlas, Serap Bulduk

International Nursing Research Congress (INRC)

Purpose: The purposes of this study are to share the results of PPSC's validity and reliability in Turkish society, introduce the Turkish version of PPSC, which has translations in only 3 different languages (English, Spanish and Filipino) and contribute to other studies carried out in the future, and draw people's attention to the importance of this study by adjoining one more new study to the epidemiological ones which are insufficient about the psycho-social problems of childhood in the world. Methods: This study was carried out methodologically in order to report translation and adaptation of the Pictorial Pediatric Symptom Checklist (PPSC) …

Text Messaging Information For Survivors Of Intimate Partner Violence, Linden Wu

International Nursing Research Congress (INRC)

Purpose: Disruptive Innovations (DI), using an intentionally and deliberately developed product or service that becomes part of daily human activity such as Text Messaging Intervention (TMI) is the conceptual framework we used. Our specific aim is to evaluate text messaging as a feasible disruptive and protective tool on IPV. Three research questions are: Will TMI 1) increase participants' awareness of potential IPV? 2) improve participants' knowledge of the warning signs of IPV? and 3) improve participants' knowledge of actions to take to prevent IPV?

Methods: A mixed methods design was used to examine the feasibility of text messaging qualitatively and …

Dissemination And Implementation Studies: The Statistician/Methodologist's Role And Responsibilities, Laura A. Szalacha

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014: Purpose: The long delay between health and healthcare research findings and everyday practice is critical. The science of dissemination and implementation (D & I) addresses this gap by understanding how to create, evaluate, report, disseminate, and integrate evidence-based interventions to improve health and prevent disease within clinical and community settings and how to recast the nature or conduct of the research itself to make it more relevant and actionable in those settings. While the D & I field is growing, there are only a few training programs for D & I research. Methods: …

Development Of Educational Program For Vietnamese Nurses Using Addie Model, Sunjoo Kang, In-Sook Kim

International Nursing Research Congress (INRC)

Session presented on Thursday, July 24, 2014:

Purpose: This study is to develop the educational program for nurses working at the hospitals in the central region of Vietnam. The central region is a well-known place for former Vietnam war battlefield and is the least developed area. There are many nurses who are in need of continuing education for their competency maintaining and improvement in central regional hospitals in Vietnam. In this research, 6 hospitals and 488 nurses were selected in a provincial hospital. Less than 10 percentage of total nurses has bachelor degree and remainders have associate bachelor degree. In …

Nurse Burnout And Patient Outcomes, Apiradee Nantsupawat

International Nursing Research Congress (INRC)

Session presented on Thursday, July 24, 2014:

Purpose: This study examined the effect of nurse burnout and patient outcomes.

Methods: This study was cross-sectional study. The sample consisted of 2,083 nurses across 92 community hospitals in Thailand. Nurse burnout was measured by the Maslach Burnout Inventory-Human Service Scale. Patient outcomes were measured by five items assessing quality of care, medication errors, confidence that patients can manage their own care after hospital discharge, infection, and falling. Logistic regression was used for the analysis.

Results: The results of study showed that higher nurse burnout was associated with higher report of fair to …

Does Social Activity Decrease The Depression In The Elderly?: An Analysis Of A Population-Based Study In South Korea, Seung Hee Lee, Young Bum Kim

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: Geriatric depression is a common condition in elderly Asian women including South Koreans. Geriatric depression also becomes an imminent challenging health concern with an increasing number of geriatric populations in Asian countries. In South Korea alone, the prevalence of probable depression in elders was 15.5% and increased with age (19.0% in female and 10.7% in male). The purpose of this study was to investigate whether social activity decreases depressive symptoms in elderly Korean women and to provide directions for future development of interventions to prevent geriatric depression.

Methods: For this study, we …

Development Of The Barriers To Nurses' Use Of Physical Assessment Scale, Clint Douglas

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: There is growing evidence of failure to recognise hospitalised patients at risk of clinical deterioration, in part due to inadequate physical assessment by nurses. Yet, little is known about the barriers to nurses' use of physical assessment in the acute hospital setting and no validated scales have been published. Complex intervention studies designed to address these barriers and improve nursing assessment skills are also needed. However, before interventions targeting nurses' assessment practices can be developed, a valid and reliable measure of barriers to physical assessment skills is required. The purpose of the …

Partnership-Based Health Care: Applying Principles Of Caring To Entire System, Suzanne S. Prevost

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Suzanne Prevost, Chair of the Leadership Succession Committee will discuss opportunities for serving as a volunteer leader in the Honor Society. Open positions and position descriptions will be identified during this session as well as qualifications and time commitment required.

Post Mortem Nursing Care Effectiveness As Perceived By U.S. Hospital Staff Nurses, Mikel W. Hand

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The purpose of this study was to explore postmortem nursing care from the perspective of the hospital staff nurse. The objectives were to describe phenomenon of postmortem nursing care from the perspective of the hospital staff nurse, explore perceptions concerning how the care provided either helps or hinders the achievement of a desired cosmetic result of the deceased with further body preparation, and to gain insight into common nursing care practices and recommendations concerning the improvement of care.

Methods: Approval to conduct the study was obtained from the Institutional Review Board of …

Changing The Face Of Health Care In A Global Society, Sustaining Ebp In Wound Care: An International Collaboration In The Philippines, Rebekah Grigsby

International Nursing Research Congress (INRC)

The prevalence and incidence of wounds has reached epidemic proportions and there is a global priority to provide wound care that is evidenced-based. However, areas around the world experience significant gaps in evidence-based practice (EBP), and populations experience disparity in wound care. Studies have identified specific barriers that impede knowledge acquisition and the translation of evidence into practice for health care professionals. This quality improvement study explored strategies to diminish barriers using Leffers and Mitchell's Conceptual Framework for Partnership and Sustainability in Global Health Nursing. The overarching purpose was to develop a sustainable program of wound care education therefore closing …

Development Of Fast Track System For Severe Trauma Patients Using Six Sigma Technique, Jiin Kim

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: Today's business requires innovative management in order to obtain excellent results and to fulfill the diverse needs of customers in a highly competitive industry. So, the goal of this study was to develop of a fast track system for severe trauma patients by using 6 Sigma.

Methods: The sample for this study consisted of all trauma patients who visited to emergency medical unit(EMC) of general hospital located in Gyunggi Province. Data were analyzed using frequency, percentage, mean, standard deviation, ANOVA and capability test. For data analysis, the SPSS/PC 12.0 program and Minitab …

A Reflection On Psychosocial Assessment And Support As A Component Of Routine Holistic Antenatal Care, Johanna M. Mathibe-Neke

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The purpose of the presentation is to address the importance of pregnant womens' psychological status to the benefit of her foetus and her pregnancy and postnatal wellbeing. This can be achieved through the introduction of an antenatal risk assessment program that would identify and manage women during pregnancy as they are psychosocially at risk. The final outcome would be the provision of a holistic antenatal care to women.

Methods: Qualitative and quantitative research designs were used by way of methodological triangulation. Triangulation was further achieved through the use of multiple data sources. …

Nurses' Perceptions Of Ethical Issues In An Academic Hospital Setting, Linda E. Jensen, Christine Swanson

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: Today's healthcare organizations are becoming increasingly accountable for the many ethical issues and challenges that have arisen as a result of corporate management, technological advances, reproduction issues, genetic healthcare, and the demands of cost containment affecting the delivery of safe and effective cares (Cooper, 2002). With such changes and challenges in the healthcare system, studies have found that the once traditional ethical principles of autonomy, beneficence, and justice provided by today's healthcare professionals are being severely tested (Cooper, 2002, p. 331). In addition, despite the Joint Commission on Accreditation of Healthcare Organization …

Pilot Survey Of Nurses' Attitudes And Practice Of Developmentally Supportive Care In Nicus In Taiwan, Chia-Ling Wu

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: To examine both neonatal nurses' attitudes in applying developmentally supportive care (DSC) and their perceptions of practice of DSC in NICUs in Taiwan.

Methods: The Chinese version of Neonatal Nursing Care Survey (NNCS) was a self-administered paper survey and distributed to NICU nurses from six regional medical institutions (two each located in the northern, central, and southern Taiwan). This tool designed on a five-Likert scale ranging from 1 to 5 assesses nurses' attitudes (including 38 items) toward and perceptions of their practice (including 61 items) of DSC for preterm infants in NICU. …